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Hawker Peddler Application

Name of Applicant

Business Name

Mailing Address

City

State

Zip Code

Phone Number

Address Where You WIll Be Doing Business in Crest Hill

City

State

Zip Code

Retail Occupation Tax (ROT) Number

The undersigned, under penalties of perjury, having the authority to sign hereto does hereby affirm that to the best of my knowledge and belief, the statements set forth in this application for license are true, correct and complete. In the event the city finds that such statements are not true, correct and complete, such license issued pursuant to this application shall be subject to immediate revocation.